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dc.contributor.authorJorgensen, Selena
dc.contributor.authorThorlby, Ruth
dc.contributor.authorWeinick, Robin M
dc.contributor.authorAyanian, John Zaven
dc.date.accessioned2011-05-13T03:31:58Z
dc.date.issued2010
dc.identifier.citationJorgensen, Selena, Ruth Thorlby, Robin M. Weinick, and John Z. Ayanian. 2010. Responses of Massachusetts hospitals to a state mandate to collect race, ethnicity and language data from patients: a qualitative study. BMC Health Services Research 10: 352.en_US
dc.identifier.issn1472-6963en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:4889445
dc.description.abstractBackground: A Massachusetts regulation implemented in 2007 has required all acute care hospitals to report patients' race, ethnicity and preferred language using standardized methodology based on self-reported information from patients. This study assessed implementation of the regulation and its impact on the use of race and ethnicity data in performance monitoring and quality improvement within hospitals. Methods: Thematic analysis of semi-structured interviews with executives from a representative sample of 28 Massachusetts hospitals in 2009. Results: The number of hospitals using race, ethnicity and language data internally beyond refining interpreter services increased substantially from 11 to 21 after the regulation. Thirteen of these hospitals were utilizing patient race and ethnicity data to identify disparities in quality performance measures for a variety of clinical processes and outcomes, while 16 had developed patient services and community outreach programs based on findings from these data. Commonly reported barriers to data utilization include small numbers within categories, insufficient resources, information system requirements, and lack of direction from the state. Conclusions: The responses of Massachusetts hospitals to this new state regulation indicate that requiring the collection of race, ethnicity and language data can be an effective method to promote performance monitoring and quality improvement, thereby setting the stage for federal standards and incentive programs to eliminate racial and ethnic disparities in the quality of health care.en_US
dc.language.isoen_USen_US
dc.publisherBioMed Centralen_US
dc.relation.isversionofdoi:10.1186/1472-6963-10-352en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3022878/pdf/en_US
dash.licenseLAA
dc.titleResponses of Massachusetts hospitals to a state mandate to collect race, ethnicity and language data from patients: a qualitative studyen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalBMC Health Services Researchen_US
dash.depositing.authorAyanian, John Zaven
dc.date.available2011-05-13T03:31:58Z
dash.affiliation.otherSPH^Health Policy and Managementen_US
dash.affiliation.otherHMS^Medicine-Brigham and Women's Hospitalen_US
dash.affiliation.otherHMS^Health Care Policyen_US
dc.identifier.doi10.1186/1472-6963-10-352*
dash.contributor.affiliatedJorgensen, Selena
dash.contributor.affiliatedAyanian, John


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